Organization
SAN LEANDRO SURGERY CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY HEATON (CEO)
(916) 566-4907
Entity
Organization
Contact information
Practice address
15035 E 14TH STREET, SAN LEANDRO, CA 94578-1901
(510) 276-2800
(510) 276-6896
Mailing address
15035 E 14TH STREET, SAN LEANDRO, CA 94578-1901
(510) 276-2800
(510) 276-6896
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
140000348
CA
Other
Enumeration date
08/02/2005
Last updated
05/08/2024
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